MS. CHRISTAN SHADEENE BLACK AGNP-BC
NPI 1285368423
Nurse Practitioner in Winston Salem, NC
About Ms. Christan Shadeene Black Agnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CHRISTAN SHADEENE BLACK AGNP-BC (NPI 1285368423) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5018146) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Christan Shadeene Black Agnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christan Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11238
- Reassigned Medicare billing, New York enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINSTON SALEM, NC 27105
WINSTON SALEM, NC 27105
WINSTON SALEM, NC 27105
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Christan Black's NPI number?
The NPI number for Christan Black is 1285368423. It was assigned to this individual provider in the NPPES registry on July 13, 2022.
Where is Christan Black located?
Christan Black practices at 2001 Todays Woman Ave, Winston Salem, NC 27105. The listed phone number is (336) 722-1818.
What is Christan Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Christan Black enrolled in Medicare?
Yes. Christan Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christan Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christan Black reassigns Medicare benefits to Team Care Medical PLLC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christan Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Christan Black accept?
Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Christan Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Christan Black was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Christan Shadeene Black, AGNP-BC · NPI 1285368423
Nurse Practitioner physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since July 13, 2022.
## Identity
- **NPI:** 1285368423 (Entity type: Individual)
- **Enumerated:** July 13, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5018146 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2001 TODAYS WOMAN AVE, Winston Salem, NC 27105-5069
- **Phone:** (336) 722-1818 · **Fax:** (336) 722-1826
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Team Care Medical PLLC (NPI 1093531691, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285368423) · Data from the CMS NPPES public registry.